| NPI | 1386318285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MS 4216-21) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN DS0000011648) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2023-06-20 |